Resumo

Background: Laminitis is characterized by an inflammation of the laminar structures of the hoof, which results in lamellar degradation of the suspensory apparatus of the distal phalanx. Despite being a common disease in the equine clinic, it is a medical emergency, which can lead the affected animals not return to sports activities. Due to the severity of laminitis and the poor prognosis, the objective was to report the case of a horse with chronic laminitis with sole perforation in all limbs treated with therapeutic shoeing using a type of horseshoe that has a horizontal crossbar and is filled with mass. Fast-drying epoxy, which has its use little described in the literature Case: A 4-year-old Crioula horse, weighing 325 kg, used in long noose competitions, was referred to the Veterinary Hospital of UFPR with chronic laminitis. The animal had reluctance to move, walk on a trestle position, grade V lameness and phalanx rotation of all limbs. The treatment of laminitis was carried out in the field, for two months, which consisted of trimming and shoeing with a horseshoe in the shape of a heart, and due to the failure of the treatment instituted, the patient presented clinical worsening. The treatment in the HV consisted of cleaning the perforated region of the sole with hydrogen peroxide and 10% iodine and dressing with cotton boots with EVA rubber on the sole to provide comfort. Corrective trimming was performed in order to remove excess forceps, lower the heel, and align the distal phalanx with the hoof wall, using a rasp. Orthopedic shoeing was performed with a normal horseshoe with a horizontal crossbar in the central region. The sole was filled with a quick-drying epoxy putty (Poxilina®), with the aim of preventing sole movement, blocking the rotation of the phalanges and improving the concavity of the hoof. Discussion: In chronic laminitis, the signs observed are claudication and deformation of the hoof, flat sole, enlargement of the white line, uneven growth of the hoof wall, hemorrhage in the abaxial white line, cracks in the hoof wall, which are observed parallel to the coronary band, in addition to phalanx rotation; in this clinical case, all these signs were observed. The trimming of horses with laminitis consists of removing the heels and decreasing the dorsal wall of the hoof, in this case, the trimming performed improved the clinical improvement of the animal five days after the procedure. The horseshoe used in the treatment of this animal has the objective of creating a weight-bearing surface on the middle of the sole, close to the tip of the frog, in this way the weight is not on the supporting edge of the clamp and, in this way, it reduces the pressure. over the most affected area. Despite the scarcity of reports on the use of this type of horseshoe, in this case it played a fundamental role in the treatment of laminitis. In this way, it is an alternative that must be taken into account when choosing the treatment, in view of its effectiveness and lower cost when compared to other methods. This case demonstrates the severity of laminitis in all limbs, especially as it presents a perforation of the sole. It is important to highlight that trimming and shoeing performed at the recommended interval (30-45 days) contributes a lot to the success of the treatment and the return of the animal to sports practice. The horseshoe with a horizontal crossbar was effective in the treatment of chronic laminitis of the forelimbs and pelvic limbs in the reported animal, with progressive improvement of the patient who returned to normal daily activities, without the presence of signs of pain or signs of laminitis after treatment.

Resumo

A laminite é a segunda enfermidade causadora de óbitos em equinos, além de ocasionar grande sofrimento ao animal, prejuízos econômicos e emocionais para as pessoas envolvidas. Diversas modalidades terapêuticas são empregadas para o tratamento desta enfermidade e não apresentam resultados consistentes descritos na literatura. Neste cenário, a tenotomia do flexor digital profundo (FDP) é uma modalidade terapêutica que pode ser empregada para o tratamento da laminite crônica, liberando a força de tração que o tendão FDP exerce sobre a falange distal, favorecendo o realinhamento da falange distal. O objetivo deste trabalho foi verificar o efeito terapêutico da tenotomia do FDP, casqueamento e ferrageamento para o tratamento de laminite crônica, por meio de informações descritivas dos achados clínicos e dos achados radiográficos dos equinos submetidos a esse procedimento. Foram utilizados 21 equinos da raça quarto de milha e mangalarga paulista, atendidos pela FMVZ- UNESP Botucatu e pela Equiconfort®. Obtiveram-se dados descritivos, permitindo relatar a evolução dos animais por meio dos achados clínicos e radiográficos. Diante dos resultados, pode-se concluir que a tenotomia do FDP é uma terapia viável para o tratamento de laminite crônica, proporcionando o realinhamento da falange distal e reduzindo o grau de claudicação.

Laminitis is the second leading cause of death from disease in horses. In addition to causing great suffering to the animal, there is economic and emotional damage to the people involved. Although several therapeutic modalities are used for the treatment of this disease, they do not present consistent results described in the literature. In this scenario, deep digital flexor (DDF) tenotomy is a therapeutic modality that can be used for the treatment of chronic laminitis, releasing the traction force that the DDF tendon exerts on the distal phalanx, favoring the realignment of the distal phalanx. The objective of this study was to verify the therapeutic effect of DDF tenotomy, trimming and shoeing for the treatment of chronic laminitis, through descriptive information on clinical and radiographic findings of horses submitted to this procedure. Twenty-one Quarter Mile and Mangalarga Paulista horses were used, attended by FMVZ-UNESP Botucatu and Equiconfort®. Descriptive data were obtained, allowing the evolution of the animals to be reported through clinical and radiographic findings. In view of the results, it can be concluded that DDF tenotomy is a viable therapy for the treatment of chronic laminitis, providing the realignment of the distal phalanx and reducing the degree of lameness.

Resumo

Foram revisados os dados de 138 equinos com laminite, atendidos no período de dez anos. Destes, 48 casos de laminite crônica foram selecionados com o objetivo de relacionar a recuperação clínica dos cavalos com a utilização de dois métodos diferentes de distribuição de apoio sobre os cascos: palmilha de isopor e palmilha de isopor associada ao ferrageamento. Os cavalos foram divididos de acordo com a recuperação clínica, método de distribuição de apoio escolhido e grau de rotação da terceira falange. Também foi estabelecido o tempo médio de tratamento. Considerando os graus de rotação 3 a 5, 6 a 8, 9 a 11 e acima de 11, e comparados os dois métodos de distribuição de apoio sobre os cascos, não foi observada diferença estatística na porcentagem de animais com recuperação clínica. Contudo, dos animais que utilizaram palmilha de isopor, 43,5 ± 14% recuperaram-se clinicamente, e nos que utilizaram palmilha de isopor associada ao ferrageamento, obteve-se 69,5 ± 19% de recuperação clínica. Não houve correlação entre o aumento do grau de rotação da terceira falange e tempo de tratamento. Também a recuperação clínica dos animais não teve relação com tempo de tratamento. A literatura correlaciona vários fatores ao prognóstico, porém, neste trabalho demonstrou-se que a o retorno à função anteriormente exercida pelo cavalo não está relacionado ao tempo de tratamento, contudo, sofre influência da utilização do método de ferrageamento.

Data from 138 horses with laminitis treated in the period of ten years were reviewed. Of these, 48 cases of chronic laminitis were selected in order to relate the clinical recovery of horses using two different methods of distribution of body weight on the hooves: foam pad and foam pad associated with shoeing. The horses were divided according to clinical recovery, the weight distribution method chosen and degree of rotation of the third phalange. Also the average time of treatment was established. Considering the degrees of rotation 3-5, 6-8, 9-11 and above 11, and comparing the two methods of distribution of body weight on the hooves, there was no statistical difference in the percentage of animals with clinical recovery. However, 43.5 ± 14% of horses that used foam pad and 69,5 ± 19% of them that used foam pad associated with shoeing recovered clinically. There was no correlation between the increase of the degree of rotation of the third phalanx and treatment time. Clinical recovery of animals was not related to treatment time. Several factors are correlated with prognosis in the literature, but this study demonstrated that the return of the function previously performed by the horse is not related to treatment time, however, is influenced by the use of shoeing.

Resumo

Relata-se o caso do atendimento de um equino, com osteomielite traumática, segundo relato do proprietário o animal havia sofrido uma queda sobre um obstáculo (mata-burro), e o mesmo passou a apresentar dificuldade de locomoção, claudicação intensa e perda de escore corporal. Após diagnóstico clínico, institui-se o tratamento com gentamicina Enrofloxacina e cetoprofeno, além de bandagem ortopédica e tala de PVC e ferradura com extensão de talão. O tempo médio para resolução clínica foi de 35 dias. Após o término do tratamento o animal aguarda procedimento cirúrgico.

We report the case of care for a horse with traumatic osteomyelitis, according to reports from the ownerthe animal had suffered a fali on an obstacle (cattle guard), and even went to present limited mobility, severe lamenes sand loss of body condition. After clinical diagnosis, establishing by treatment with gentamicin and enrofloxacinke to profen and ortopedic bandage, splint PVC and horseshoe extending bead. The median time to clinical resolutionwas 35 days. After the end of treatment the animal awaiting surgery.

Se presenta el caso de la atención a un caballo con osteomielitis traumática, según informan desde el dueno del animal había sufrido una caída en un obstáculo (protector de ganado), e incluso lIegó a presentar unamovilidad limitada, cojera severa y Ia pérdida de Ia puntuación cuerpo. Tras el diagnóstico clínico, establecer medianteel tratamiento con gentamicina y ketoprofeno enrofloxacina y férula ortopédica y PVC vendaje y de herradura que se extiende de talón. La mediana de tiempo hasta Ia resolución clínica fue de 35 días. Después de que el finaldei tratamiento de Ia cirugía de los animales a Ia espera.